Urinary Stress Incontinence
Urinary Stress Incontinence (USI) associated with obesity is more frequently seen in women, while obese men often report experiencing urinary urgency. Because of the relationship between wall tension and the volume of a sphere, increased waist circumference caused by obesity results in an increase in intra-abdominal and urinary bladder pressure.*11
Patients with USI can leak urine during normal daily activities such as laughing, sneezing, coughing, bending or performing any movements. This condition can make daily social interactions difficult and uncomfortable for patients with USI.32
Laparoscopic gastric banding (LAGB) surgery has been shown to decrease waist circumference in both men and women by 13% (53 inches vs 46 inches) at 6 months post surgery and 95% patients who have undergone bariatric surgery report a resolution in urinary continence within a few months after the surgical procedure.11,33
Relevant Links:
Physician Resources—Urinary Stress Incontinence
Standards of Care—Urinary Stress Incontinence
*LaPlace’s law dictates that pressure is proportional to the radius to the fourth power.11
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